The electric illumination of the bladder and urethra : as a means of diagnosis of obscure vesico-urethral diseases / by E. Hurry Fenwick.

  • Fenwick, E. Hurry (Edwin Hurry), 1856-
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: The electric illumination of the bladder and urethra : as a means of diagnosis of obscure vesico-urethral diseases / by E. Hurry Fenwick. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    Should the patient have passed his urine lately, or should there be pus or blood in his urine, it is of course necessary to replace that medium with clear water. A soft Jacques catheter is passed, and the bladder is well washed out with a warm solution of boracic acid. After the washings become quite clear,* four or five ounces of the same solution or of clean and warm kettlet water are run into the bladder. A drachm or more of a 20 per cent, solution of cocaine may be injected through the same instrument, if this is required. The cocaine rapidly diffuses itself throughout the water, and serves not only to deaden the sen- sibility of the vesical mucous membrane in spas- modic cases, but also to allow of a still larger introduction of the boracic solution, if a difficulty in tolerating the necessary quantity is experienced by the patient. An irritable bladder may thus be induced to accommodate as much as six ounces mvt.-rs have changed. They may project as conical masses, or they may eren be entirely oonoealed by the folds of the bladder. * In some cases of nodular carcinoma no amount of washing will produce ;i clear medium, for tin- blood is as rapidly poured into the bladder at il if eradiated and replaced by water. It is best in these cases to postpone the examination until i he urine clears. f Plain warm water tometiinei ftCtl ;i-- -in irritant to sensitive muooui membranee. Compare oaae of Mr. P— under heading of 11 morrhagic Oyititia, Ohap. V11.